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General NPI Number Information
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NPI Number | 1083665525
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Entity Type | Individual
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Provider Name | THOMAS MASSEY PT
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Gender | Male
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 5813 MAYFIELD RD STE 102
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City | MAYFIELD HEIGHTS
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State | OH
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Zip | 44124-2937
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Country | US
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Telephone | 440-683-4438
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Fax | 440-683-4371
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Provider Business Mailing Address
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Address Line | 8264 SUMMIT DR
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-4649
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Country | US
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Telephone | 440-543-5909
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT10160
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License Number State | OH
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